老年人Barrett食管的X线表现  

The radiographic findings of Barrett's esophagus in senior patients

作　　者：黄健民[1] 陈德基[1] 钱瑞菱[1] 周智美[1] 刘卉[1] 

机构地区：[1]广州医学院第二附属医院放射科,广州510260

出　　处：《影像诊断与介入放射学》2006年第3期114-117,共4页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨食管钡餐双对比造影连续摄影对提高老年人巴雷特(Barrett)食管诊断的价值。方法回顾性分析10例老年人Barrett食管,经食管钡餐双对比造影用连续摄影诊断后,经内镜检查和活检病理证实,对其X线表现进行分析。结果10例中发病部位均位于食管下段,食管钡餐双对比造影连续摄影表现为:食管黏膜皱襞紊乱10例;溃疡龛影形成10例,单发5例、多发5例,龛影尖角形或椭圆形6例,点状钡斑浅龛影4例;龛影周边衬托有长而窄透亮线或晕环透亮影8例,腔内出现充盈缺损表现2例;龛影大小约0.2～1.2cm,其中4例有1cm以上龛影;食管狭窄4例;伴有食管裂孔疝5例。结论食管钡餐双对比造影连续摄影检查能提高对老年人Barrett食管的发现,认识其影像学特点有助于鉴别诊断,指导治疗,评估预后。Objective To evaluate determine the double-contrast esophagography in the diagnosis of Barrett＇s esophagus in senior patients. Methods The images of double-contrast esophagography were retrospectively studied in 10 cases of Barrett＇ s esophagus in senior patients. All cases were eventually confirmed by the endoscopy and pathology. Results All abnormalities were found at the low of the section of esophagus. The appearances of double contrast esophagography and successive spot radiographs were： 10 cases had abnormal mucoscal folds of esophagus, 10 cases had ulcer niche, 2 cases had filling defects, 4 cases had stenosis of esophagus and 5 cases had esophageal hiatal hernia. Conclusion Double contrast esophagography and successive spot radiographs are valuable in finding of old man＇ s Barrett＇ s esophagus, directing treatment and prognosing evaluation.

关 键 词：BARRETT食管 数字连续摄影 诊断 

分 类 号：R571[医药卫生—消化系统] R816.5[医药卫生—内科学]